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Portia Monique Porter, CERTIFIEDHAIRLOSS
Specialist in Raleigh, North Carolina
NPI 1073284964

Portia Monique Porter is a Specialist based in Rocky Mount, NC. Portia Monique Porter practices in Raleigh, NC and has the professional credentials of CERTIFIEDHAIRLOSS. The NPI Number for Portia Monique Porter is 1073284964 and holds a License No. (North Carolina).

The current practice location address for Portia Monique Porter is 7486 Creedmoor Rd, Raleigh, NC and can be reached out via phone at 252-544-4369.

Location: 7486 Creedmoor Rd, Raleigh, NC, 27804-5602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073284964
Provider Name
Portia Monique Porter
Credential
CERTIFIEDHAIRLOSS
Provider Entity Type
Individual
Gender
Female
Address
7486 Creedmoor Rd, Raleigh, NC, 27804-5602
Phone Number
252-544-4369
Fax Number
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1744P3200X 05 NC
institution
Provider Business Practice Location Address Details
Address
7486 Creedmoor Rd
City
Raleigh
State
North Carolina
Zip
27613-1663
Phone Number
252-544-4369
Fax Number
person
Provider Business Mailing Address Details
Address
7486 Creedmoor Rd
City
Raleigh
State
North Carolina
Zip
27613-1663
Phone Number
252-544-4369
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
Research Study
Taxonomy
1744R1102X
License No.
()
Definition
Definition to come...
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